| NPI | 1598352866 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SANDRA DAUPHIN Owner 561-460-6162  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health | 
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-12-21 | 
| Last Update Date | 2020-12-21 |